Cardiovascular surgery (London, England)最新文献_第4页

Cardiac metastasis of malignant melanoma: where are we standing? 恶性黑色素瘤的心脏转移:我们站在哪里?

Cardiovascular surgery (London, England) Pub Date : 2018-01-01 DOI: 10.35841/CARDIOVASCULAR-SURGERY.1.2.50-51

T. Velho, N. Guerra, A. Nobre

引用次数: 0

Wall motion score index predicts mortality after coronary artery bypass grafting in patients with viable non-functioning myocardium 壁运动评分指数预测存活无功能心肌患者冠状动脉搭桥术后死亡率

Cardiovascular surgery (London, England) Pub Date : 2018-01-01 DOI: 10.35841/CARDIOVASCULAR-SURGERY.1.2.39-40

Y. Kamal, S. E. Al-Elwany, A. Ghoneim, Ahmed Elminshawy

引用次数: 1

Comparison of Cormatrix? porcine extracellular matrix and pericardial patch augmentation for tricuspid valve leaflet reconstruction - A singlecenter experience. Cormatrix?猪细胞外基质和心包贴片增强术用于三尖瓣小叶重建-单中心经验。

Cardiovascular surgery (London, England) Pub Date : 2018-01-01 DOI: 10.35841/CARDIOVASCULAR-SURGERY.1.1.1-7

D. M. Røpcke

{"title":"Comparison of Cormatrix? porcine extracellular matrix and pericardial patch augmentation for tricuspid valve leaflet reconstruction - A singlecenter experience.","authors":"D. M. Røpcke","doi":"10.35841/CARDIOVASCULAR-SURGERY.1.1.1-7","DOIUrl":"https://doi.org/10.35841/CARDIOVASCULAR-SURGERY.1.1.1-7","url":null,"abstract":"Background and aim: Leaflet augmentation to treat restrictive mitral leaflet motion in type IIIB mitral regurgitation is well-known. Leaflet augmentation of the tricuspid valve is less well described. The aim of this retrospective study was to assess short- and long-term valve function and patient outcome in all patients receiving tricuspid valve leaflet augmentation with either Cormatrix or bovine/autologous pericardium in our institution from 2007 to 2016. Materials and methods: NYHA class, diagnosis, type of surgery and health state were found through chart review. Echocardiography exams before surgery, 1 month after, 6 months after, and latest exam were analyzed regarding biventricular function, valve function, leaflet mobility and –thickness. Results: In eight patients; Cormatrix (n=4), bovine pericardium (n=3), and autologous pericardium (n=1) were used for 7 anterior leaflet extensions and 1 septal leaflet extension. Follow-up ranged from 6 to 132 months. Three patients had died, two in the Cormatrix group, and one in the pericardial group. Over time, coaptation length (12 ± 5 mm vs. 8 ± 3 mm, p=0.03) decreased significantly in the Cormatrix group, while none of the other parameters differed significantly. A tendency towards reduced leaflet mobility and thickening of the pericardialextended leaflets were seen over time. Conclusion: Cormatrix and pericardium as patch material for tricuspid leaflet extension are comparable regarding valve performance and durability of the repair in this study, though resorption of Cormatrix material seems to take place leading to decreasing coaptation height. This is a sign of tissue remodelling. Leaflet mobility was reduced in the pericardial repair group and may likely be related to thickening of pericardial patch material that occurred over time.","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"1 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70038611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Usefulness of assessing the descending aorta flow pattern for predicting the need for intervention in patients with aortic coarctation 评估降主动脉血流模式对预测主动脉缩窄患者是否需要干预的有效性

Cardiovascular surgery (London, England) Pub Date : 2018-01-01 DOI: 10.35841/CARDIOVASCULAR-SURGERY.1.1.24-29

B. Muñoz, D. Domingo-Valero, Alicia Maceira-González, J. Rueda-Soriano, F. Valera, J. I. Carrasco, Alej, R. Sanchez-Vazquez, A. Montero-Argudo

{"title":"Usefulness of assessing the descending aorta flow pattern for predicting the need for intervention in patients with aortic coarctation","authors":"B. Muñoz, D. Domingo-Valero, Alicia Maceira-González, J. Rueda-Soriano, F. Valera, J. I. Carrasco, Alej, R. Sanchez-Vazquez, A. Montero-Argudo","doi":"10.35841/CARDIOVASCULAR-SURGERY.1.1.24-29","DOIUrl":"https://doi.org/10.35841/CARDIOVASCULAR-SURGERY.1.1.24-29","url":null,"abstract":"Background: Nowadays, evaluation of the need for intervention in patients with aortic coarctation (AC) is based on anatomical and clinical data. The purpose of the study was to analyze the utility of assessing flow in the thoracic descending aorta using magnetic resonance imaging (MRI) in patients with AC. Methods: Patients with a diagnosis or suspicion of AC, who underwent MRI study between 2008-2016 in a single tertiary center, were retrospectively studied. MRI standardized protocol included gadolinium enhanced angiographic 3-D sequences to evaluate relative stenosis (RS) and phase contrast imaging to assess flow in the descending aorta. Results: 106 patients {70 men (66%), mean age 22 ± 17 years} were included. Of these, 28 (26%) required surgical intervention during the first year after evaluation and 9 (9.3%) required percutaneous treatment. AUROC curves were applied to find best cut-off points of imaging variables. Imaging variables were entered into a multivariate logistic regression model including the presence of arterial hypertension. Percentage of flow increase was shown to be an independent predictor of the need for an intervention (OR, 7.2; 95%CI, 1-20; p=0.03) and adding this parameter in the standard work-up represented a significant increase in diagnostic accuracy (S, 85%; Sp, 89%; vs. S, 62%; Sp, 92%). Conclusion: physiological assessment of flow pattern in descending aorta by MRI significantly increases the ability to evaluate the need for invasive treatment in AC patients beyond standard clinical and anatomical study.","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"01 1","pages":"24-29"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70039069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IMLAD is not a contraindication for OPCAB IMLAD不是OPCAB的禁忌症

Cardiovascular surgery (London, England) Pub Date : 2018-01-01 DOI: 10.35841/CARDIOVASCULAR-SURGERY.1.2.41-43

A. Mahmoud

引用次数: 0

External validation of European System for Cardiac Operative Risk Evaluation II in a Tunisian population 欧洲心脏手术风险评估系统II在突尼斯人群中的外部验证

Cardiovascular surgery (London, England) Pub Date : 2018-01-01 DOI: 10.35841/cardiovascular-surgery.2.1.10-17

Chighaly El Hadj Sidi, I. Mgarrech, A. Tarmiz, S. Jerbi

{"title":"External validation of European System for Cardiac Operative Risk Evaluation II in a Tunisian population","authors":"Chighaly El Hadj Sidi, I. Mgarrech, A. Tarmiz, S. Jerbi","doi":"10.35841/cardiovascular-surgery.2.1.10-17","DOIUrl":"https://doi.org/10.35841/cardiovascular-surgery.2.1.10-17","url":null,"abstract":"Objective: The main objective of this study is to evaluate the performance of the predictive model (EuroSCORE II) on a Tunisian population in order to validate its use in our country. Methods: This is a retrospective study of data from 418 adult patients undergoing cardiac surgery with cardiopulmonary bypass between 1st January 2015 and 31 December 2016 in the department of cardiovascular and thoracic surgery of the Sahloul University Hospital of Sousse. The EuroSCORE ΙΙ is calculated using the application validated on the site www.euroscore.org. The performance of the score is evaluated by analyzing its discriminative power by constructing the ROC curve and analyzing its calibration using the Hosmer-Lemeshow statistics. Results: The EuroSCORE II shows good discriminative power in our population with an area under the ROC curve >0.7 in all study groups (0.864 ± 0.032 for general cardiac surgery, 0.822 ± 0.061 for coronary surgery, 0.864 ± 0.052 for valvular surgery, and 0.900 ± 0.041 for urgent cardiac surgery). The model appears to be calibrated as well by obtaining ρ values above the statistical significance level of 0.05 (0.638 for general cardiac surgery, 0.543 for coronary surgery, 0.179 for valvular surgery, and 0.082 for urgent cardiac surgery). Conclusion: The EuroSCORE II presents acceptable performance in our population, attested by a good discriminative power and an adequate calibration.","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"2 1","pages":"10-17"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70039317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Robot assisted thoracic surgery: a review of current literature 机器人辅助胸外科手术:当前文献综述

Cardiovascular surgery (London, England) Pub Date : 2018-01-01 DOI: 10.35841/CARDIOVASCULAR-SURGERY.1.3.71-69

Charles D Ghee, W. Vigneswaran

引用次数: 0

Which strategy should be chosen for ischemic free wall rupture on-pump or off-pump? 缺血游离壁破裂在泵上或泵外应选择哪种策略?

Cardiovascular surgery (London, England) Pub Date : 2018-01-01 DOI: 10.35841/CARDIOVASCULAR-SURGERY.1.2.48-49

Y. Misawa

引用次数: 0

Commentary: Transcatheter aortic valve implantation in morphologically complex root-aneurysms. 评论:经导管主动脉瓣植入术治疗形态复杂的根状动脉瘤。

Cardiovascular surgery (London, England) Pub Date : 2018-01-01 DOI: 10.35841/cardiovascular-surgery.1.2.44-45

B. Winkler, M. Grabenwöger, M. Mach

引用次数: 1

Chest wall desmoid tumor after double lung transplantation 双肺移植后胸壁硬纤维瘤

Cardiovascular surgery (London, England) Pub Date : 2018-01-01 DOI: 10.35841/CARDIOVASCULAR-SURGERY.2.1.1-5

Matthew P. Fahrenkopf, John P. Kelpin, Edward Murphy, E. Komorowska‐Timek

{"title":"Chest wall desmoid tumor after double lung transplantation","authors":"Matthew P. Fahrenkopf, John P. Kelpin, Edward Murphy, E. Komorowska‐Timek","doi":"10.35841/CARDIOVASCULAR-SURGERY.2.1.1-5","DOIUrl":"https://doi.org/10.35841/CARDIOVASCULAR-SURGERY.2.1.1-5","url":null,"abstract":"Desmoid tumors pose a number of unique challenges to treating physicians. They have an unpredictable clinical course, aggressive nature, and predilection for recurrence after resection. They frequently develop in areas of previous trauma and have also been thought to be sensitive to hormonal stimuli. Conservative management is often recommended as a primary therapeutic option. Surgery becomes necessary for those patients with symptomatic and/or progressively enlarging lesions. Complete resection is often considered the “gold standard”, but surgeons should always consider minimizing morbidity and maximizing function. There are a limited number of reports in the literature describing desmoid tumors after solid organ transplantation. Here, we report a 66-year-old gentleman who was found to have a mass on his right chest wall two years after lung transplantation. The patient was initially monitored with serial radiographic imaging. Rapid growth prompted a tissue biopsy, revealing a desmoid tumor. Continued expansion and invasion of the lesion into the surrounding osteocutaneous structures required surgical intervention. En bloc resection of the mass with immediate chest wall reconstruction was performed. New lesions developing after transplantation must be monitored with scrutiny. Desmoid tumors, though rare, should be considered in this differential diagnosis. Early diagnosis may decrease patient morbidity by reducing the extent of resection.","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"2 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70039386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2